attained in unadjusted models. Experiencing elevated depression
symptoms both at earlier and later stages of pregnancy
were positively related to gaining more weight than is clinically
recommended based on prepregnancy BMI. Similarly,
women classified as reporting high levels of depressive symptoms
at both time points were shown to have significantly
higher adequacy ratios relative to those women reporting
minimal depressive symptoms at either administration. Both
self-esteem and trait anxiety also played modest roles in predicting
excessive GWG in this sample in the uncorrected
models. However, the effects of psychosocial status on exceeding
GWG clinical guidelines were overshadowed by maternal
sociodemographic and health behaviors engaged in during
pregnancy. This may suggest that they mediate the effects of
psychosocial factors though this was not directly tested in our
analysis.